590 resultados para Saarinen, Tuija
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Kirjallisuusarvostelu
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Kollektiivinimi Jaanahannatarja Palmusaarinenojala sisältää tutkijat Hanna Ojala, Tarja Palmu ja Jaana Saarinen.
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Kirjallisuusarvostelu
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Kirjallisuusarvostelu
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Kirjallisuusarvostelu
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Pohjautuu Rovaniemen yliopistossa sukupuolentutkimuksen ja kulttuurintutkimuksen päivillä 2013 pidettyyn esitelmään Totuuksien politiikat.
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Tuija Lehtikunnas: Intensive care patient handover document in support of decision-making in nursing work - Retrospective document analysis for the period 2001–2013 University of Turku, Faculty of Medicine, Nursing Science Annales Universitatis Turkuensis Turku 2016 ABSTRACT The continuity of care and flow of information must be ensured when transferring the responsibility of care, whether this is done within an organisation or from one organisation to another. The purpose of this study was to describe and compare the nursing handover documents of long-term intensive care patients and changes to these documents during the years 2001–2013. Research data comprehended long-term intensive care patient handover documents (N = 250). Data was gathered from one university hospital intensive care unit and subjected to a content analysis of technical implementation, structure and content at five different time points. In addition to this, the nursing handover documents were analysed from a nursing decision-making standpoint. Sub-data (n = 5 x 50) from the years 2001, 2002, 2004, 2006 and 2013 was gathered. The first sub-data was manual, written on paper with a pen. The rest of the sub-data obtained was entered in a dedicated intensive care information system. The study developed an intensive care patient nursing handover document analysis framework, which was used to deductively analyse the research data. The results indicated that the transitioning to electronic records reinforced structure and identification improving the reusability of data was increased. Although intensive care nursing was recorded on nursing handover documents more comprehensively in more recent sub-data, it was done selectively with regard to overall patient care, e.g. there are no entries concerning the psychological support and counselling of patients or family members. Nursing handover documents do not contain a systematic description of the patient's communication and functional capacity at the moment of transfer. The patient's condition at the moment of transfer is not clearly indicated on the handover documents. Plans for follow-up treatment are not recorded at all. Nursing decision-making is difficult to find on the nursing handover documents used as research data. The study developed a handover document model for intensive care nursing that supports nursing decision-making and the continuity of care. Developmental recommendations focus on the management of co-operation within organisations for ensuring the continuity of care and enhancing each area of nursing in recording nursing handover documents by planning nursing for the patient, taking follow-up treatment resources into consideration. Keywords: Intensive care nursing, nursing decision-making, nursing records, information flow, nursing handover document, continuity of care
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The wide adaptation of Internet Protocol (IP) as de facto protocol for most communication networks has established a need for developing IP capable data link layer protocol solutions for Machine to machine (M2M) and Internet of Things (IoT) networks. However, the wireless networks used for M2M and IoT applications usually lack the resources commonly associated with modern wireless communication networks. The existing IP capable data link layer solutions for wireless IoT networks provide the necessary overhead minimising and frame optimising features, but are often built to be compatible only with IPv6 and specific radio platforms. The objective of this thesis is to design IPv4 compatible data link layer for Netcontrol Oy's narrow band half-duplex packet data radio system. Based on extensive literature research, system modelling and solution concept testing, this thesis proposes the usage of tunslip protocol as the basis for the system data link layer protocol development. In addition to the functionality of tunslip, this thesis discusses the additional network, routing, compression, security and collision avoidance changes required to be made to the radio platform in order for it to be IP compatible while still being able to maintain the point-to-multipoint and multi-hop network characteristics. The data link layer design consists of the radio application, dynamic Maximum Transmission Unit (MTU) optimisation daemon and the tunslip interface. The proposed design uses tunslip for creating an IP capable data link protocol interface. The radio application receives data from tunslip and compresses the packets and uses the IP addressing information for radio network addressing and routing before forwarding the message to radio network. The dynamic MTU size optimisation daemon controls the tunslip interface maximum MTU size according to the link quality assessment calculated from the radio network diagnostic data received from the radio application. For determining the usability of tunslip as the basis for data link layer protocol, testing of the tunslip interface is conducted with both IEEE 802.15.4 radios and packet data radios. The test cases measure the radio network usability for User Datagram Protocol (UDP) based applications without applying any header or content compression. The test results for the packet data radios reveal that the typical success rate for packet reception through a single-hop link is above 99% with a round-trip-delay of 0.315s for 63B packets.
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Tämän tutkimuksen tavoitteena oli selvittää kuinka yrittäjän verkostot muodostuvat ja minkälainen niiden rakenne on. Tavoitteena oli myös saada tietoa yrittäjän sosiaalisten verkostojen merkityksestä yrittäjälle. Tutkimus toteutettiin laadullisena tutkimuksena. Tutkimusaineisto kerättiin strukturoidulla haastattelulla ja tutkimusaineiston rinnalla käytettiin yrittäjien havainnollistamia piirroksia sekä tieteellisiä julkaisuja ja kirjallisuutta. Haastateltavina oli sekä nais- että miesyrittäjiä eri paikkakunnilta Etelä-Suomen alueelta. Tutkimustulosten mukaan yrittäjien verkostoissa voidaan havaita eri tasoja, jotka rakentuvat eri tavoilla ja ovat yrittäjälle merkitykseltään erilaisia. Verkoston eri tasoille sijoittuu yrittäjälle tärkeitä ihmisiä sen mukaan mitä hyötyä ja arvoa heillä yrittäjälle on. Tulokset osoittavat, että verkostojen rakentamiseen vaikuttavat sekä liiketoiminnan laatu, motiivit sekä yrittäjän persoona. Tulokset ovat linjassa tämän tutkimuksen perustana olevien teorioiden kanssa. Viitteitä löytyy myös siitä, että yrittäjän sukupuolella on myös merkitystä siihen, millaiseksi sosiaaliset verkostot rakentuvat sekä henkilökohtaisessa elämässä että liike-elämän puolella. Sosiaalisista verkostoista saatavat hyödyt ovat moninaisia. Lisätutkimuksia tulisi tehdä tehokkaiden työkalujen kehittämiseksi henkilöstön ja yrittäjän omien resurssien tunnistamiseksi. Tätä kautta myös yrittäjyyskasvatusta ja yrittäjäneuvontaa voitaisiin tehostaa.